ETHAN COLLINS

PHILADELPHIA, PA
NPI1790417145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  OT022165)
Enumeration Date2022-06-25
Last Update Date2022-06-25
Business Address
ETHAN COLLINS DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
Mailing Address
ETHAN COLLINS DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161